... Negative self-image (Bruch, 1973;Casper, Offer & Ostrov, 1981;Lask, 2000;Palazzoli, 1974) and low self-esteem (Beumont, 2002;Silvera, et al., 1998;Silverstone, 1990) have been suggested to be typical of eating disorders, and a number of studies have found eating disorder patients to be characterised by more negative self-image compared to normal controls (Button, Sonuga-Barke, Davies & Thompson 1996;Casper et al., 1981;Erkolahti, Saarijarvi, Ilonen & Hagman, 2002;Geller et al., 1998;Johnsson, Smith & Amner, 2001;Lilenfeld et al., 1998;Mendelson, McLaren, Gauvin & Steiger, 2002;Sanftner & Crowther, 1998;Schupak Neuberg & Nemeroff, 1993;Sheppy, Friesen & Hakstian, 1988;Steinhausen & Vollrath, 1993;Strauss & Ryan, 1987;Wonderlich, Klein & Council, 1996). Other research suggests that low selfesteem may be a risk-factor for the development of eating disorders (Button et al., 1996;Cervera et al., 2003;Fairburn, Cooper, Doll & Welch, 1999;Fairburn, Doll, Welch, Hay, Davies & O'Connor, 1998;Fairburn, Welch, Doll, Davies & O'Connor, 1997;Ghaderi, 2003;Lilenfeld et al., 1998;Miotto, De Coppi, Frezza, Rossi & Preti, 2002;Ross & Wade, 2003;Vohs, Bardone, Joiner, Abrahamson & Heatherton, 1999). ...